Taylor, Mary B

Taylor, Mary B is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Taylor, Mary B can be contacted via phone (888) 815-2005.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (888) 815-2005
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 28959 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 13304 Mississippi

Profile Details

NPI number 1174629257
LBN Legal business name Taylor, Mary B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174629257 NPPES
Tennessee MEDICAID 38418511
Tennessee Other 4019556
Tennessee Other 370019646
Tennessee MEDICAID 3841852

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